About the Facility
- CMS Certification Number (CCN)
- 10T002
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
2815 South Seacrest Blvd
- Phone Number
- (561) 737-7733
Facility Medical Condition Statistics
- All other conditions
- 112
- Brain disease or condition (non-traumatic)
- 46
- Brain injury (traumatic)
- 13
- Hip or femur fracture
- 138
- Hip or knee replacement, amputation or other bone or joint condition
- 94
- Nervous system disorder (excluding stroke)
- 54
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 95
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 362
- Predicted number of infections (B)
- 0.523
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 563
- Denominator
- 563
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.6
- Denominator
- 504
- Average observed change score
- 11.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.9
- Denominator
- 504
- Average observed change score
- 29.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 218
- Denominator
- 504
- Facility rate
- 43.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 232
- Denominator
- 504
- Facility rate
- 46.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 563
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.023
- SIR 95% confidence interval - upper limit
- 2.270
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,689
- Predicted number of infections (B)
- 2.173
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.460
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 475
- Number of health care workers
- 524
- Rate of flu vaccination
- 90.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 50
- Number of eligible stays
- 603
- Unadjusted potentially preventable readmission rate
- 8.29
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.91
- Lower limit of the 95% confidence interval on the RSRR
- 7.26
- Upper limit of the 95% confidence interval on the RSRR
- 10.71
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 31
- Number of eligible stays
- 654
- Unadjusted potentially preventable readmission rate
- 4.74
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.30
- Lower limit of the 95% confidence interval on the RSRR
- 3.92
- Upper limit of the 95% confidence interval on the RSRR
- 6.94
- Comparative performance category
- No Different than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 362
- Number of eligible stays
- 517
- Observed discharge to community rate
- 70.02
- Risk-standardized discharge to community rate
- 67.58
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.01
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.94
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 651
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 558
- Denominator
- 563
- Facility rate
- 99.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 563
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 1.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 161
- Number of health care workers
- 175
- Rate of COVID-19 vaccination
- 92.0